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sync: auto-sync from ACG-TECH03L at 2026-04-18 10:17:42

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Author: Howard Enos
Machine: ACG-TECH03L
Timestamp: 2026-04-18 10:17:42
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Howard Enos
2026-04-18 10:17:43 -07:00
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clients/cascades-tucson/docs/proposals/m365-premium-upgrade.md
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**Prepared by:** Howard Enos, MSP
**Date:** April 14, 2026
**Revision needed (flagged 2026-04-18):** this proposal sizes Premium at 23 users, but the caregiver roster (`docs/cloud/caregiver-m365-p2-rollout.md`) lists ~39 caregivers / MedTechs / CCGs with no current M365 identity who actually USE the 25 shared phones. Without their accounts + Conditional Access, the phones don't deliver per-person HIPAA auditability. Updated target is closer to **61 Premium licenses (~$1,342/mo)**, not 23 (~$506/mo). The "saves $56.50/mo" narrative below is true of the staff-only cleanup but must be re-framed as "licensing the people who will use the phones is new spend driven by HIPAA compliance, not a cost-saving move." Leave this document as the starting point; re-present to Meredith with the updated math before purchasing.
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